Digital Provider Interaction Solution Manager-Work from home

Cigna Anywhere
Apply on LinkedIn
Work from home Full-time Health insurance Dental insurance Paid time off
Qualifications
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While this position does not require coding experience, it does require the ability and experience to work with Product Owners, UX Designers, Content Strategists, Project Managers/Scrum Masters, subject matter experts (SMEs), application and product developers, in an Agile program structure
•
5+ years of relevant B2B work experience in Product Management, with a proven track record of successful delivery
•
Able to effectively collaborate with technology development and architecture teams on potential solution options
•
5+ years in Healthcare/managed care environment, with knowledge of provider workflows, EMR systems and clinical or non-clinical data exchange between payer and providers
•
Bachelor’s degree required
•
Well-versed in technology, particularly with HIPAA standards for EDI transactions or HL7 standards for clinical and non-clinical data exchange
•
Demonstrated problem solving skills including the ability to systematically analyze complex problems
•
Proven ability to listen, understand and interpret information from others
•
Strong written and verbal communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand and interpret information from others
•
Able to work in a virtual environment as part of a virtual scrum team
•
Must be able to hit the ground running with little to no supervision as this an extremely fast paced and dynamic working environment
•
Must be able to run and facilitate sessions, drive clarity around work and raise issues to leadership in a timely and organized manner
•
Full time Work from home
•
Up to 20% travel
•
Critical Competencies
•
Ability to operate in a matrix organization
•
Be Provider Focused
•
Ability to make solution recommendations and decision making
Responsibilities
•
This is an exciting role to be in the position to drive improvements for the provider experience and influence data exchange and interoperability across the healthcare industry between payer and provider systems
•
This position is responsible for defining solutions for the exchange of healthcare data with third party and provider organizations using industry standard (such as HL7, FHIR and EDI standards) and proprietary exchanges
•
Primary responsibilities include engagement with internal stakeholders and external partners to drive and manage initiatives for data exchange solutions that align with the priorities and goals of Evernorth/Cigna
•
This role will require program management, assessment of business requirements, guiding the solution definition, influencing the product roadmap and product enhancements to align with competition, industry and regulatory standards
•
This role will serve as the liaison representing provider digital solutions across the organization and lines of business to build an integrated digital data exchange strategy with an enterprise mind set, collaborating with business leaders and IT leaders across the organizational boundaries
•
Market analysis to maintain an understanding of provider problems, potential industry solutions for the identified problems, and the different vendor or technology options available
•
Stay knowledgeable of provider workflows, provider systems and interact with providers to understand how changes within the industry and the regulatory environments impact the information providers need to effectively service their patients and reduce their administrative burden
•
Develop and maintain awareness of industry trends, and gather industry expert opinion and quantitative market data for different market segments
•
Participate in industry groups and conferences to monitor industry changes and drive for industry changes that align with Evernorth goals
•
Identify competitive offerings in the market and assess their strengths and weaknesses
•
Evaluate the presence and relative importance of key product capabilities
•
Develop understanding of vendor solutions, their strengths and weaknesses, and how they integrate into provider workflows
•
Partner with Provider Experience to become the expert on provider problems through interviewing and observing providers, and how those problems may differ by region, size or specialty
•
Look for unsolved problems that are both urgent and pervasive
•
Monitor and analyze how well the product is performing including product adoption (actual to planned adoption), provider satisfaction and market share
•
Articulate the value to the provider and the customer provided by our digital products and solutions
•
Assess and articulate the need for digital products and tools that support each of the market tier needs
•
Review internal measurements to determine how the product impacts our operations
•
Look for areas with the greatest impact on operating expenses
•
Using the market research and product analysis develop a multi-year roadmap and collaborate with the Experience and Product Owner to incorporate roadmap into a long-term strategy and vision
•
Stay knowledgeable of the company’s strategic direction and plans and determine how the strategy impacts the health care professional experience and product roadmaps
•
Investigate internal and external technologies and consider how they might be applied to solve a given market problem
•
Describe the ideal or stereotypical user persona that represents the development targets
•
Prepare scenarios for user personas to describe instances of market problems or situations that illustrate why a product requirement is necessary
•
Review and approve requirements that accurately and completely articulate business needs for all affected personas, both internal and external
Benefits
•
For this position, we anticipate offering an annual salary of 104,500 – 174,100 USD / yearly, depending on relevant factors, including experience and geographic location
•
This role is also anticipated to be eligible to participate in an annual bonus plan
•
That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health
•
Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs
•
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays
•
For more details on our employee benefits programs, visit Life at Cigna
Job description
Digital Provider Interaction Solution Manager Responsibilities This is an exciting role to be in the position to drive improvements for the provider experience and influence data exchange and interoperability across the healthcare industry between payer and provider systems. This position is responsible for defining solutions for the exchange of healthcare data with third party and provider organizations using industry standard (such as HL7, FHIR and EDI standards) and proprietary exchanges. Primary responsibilities include engagement with internal stakeholders and external partners to drive and manage initiatives for data exchange solutions that align with the priorities and goals of Evernorth/Cigna. This role will require program management, assessment of business requirements, guiding the solution definition, influencing the product roadmap and product enhancements to align with competition, industry and regulatory standards. This role will serve as the liaison representing provider digital solutions across the organization and lines of business to build an integrated digital data exchange strategy with an enterprise mind set, collaborating with business leaders and IT leaders across the organizational boundaries. While this position does not require coding experience, it does require the ability and experience to work with Product Owners, UX Designers, Content Strategists, Project Managers/Scrum Masters, subject matter experts (SMEs), application and product developers, in an Agile program structure. Primary Responsibilities: • Market analysis to maintain an understanding of provider problems, potential industry solutions for the identified problems, and the different vendor or technology options available. • Stay knowledgeable of provider workflows, provider systems and interact with providers to understand how changes within the industry and the regulatory environments impact the information providers need to effectively service their patients and reduce their administrative burden. • Develop and maintain awareness of industry trends, and gather industry expert opinion and quantitative market data for different market segments. • Participate in industry groups and conferences to monitor industry changes and drive for industry changes that align with Evernorth goals. • Identify competitive offerings in the market and assess their strengths and weaknesses. Evaluate the presence and relative importance of key product capabilities. • Develop understanding of vendor solutions, their strengths and weaknesses, and how they integrate into provider workflows. • Partner with Provider Experience to become the expert on provider problems through interviewing and observing providers, and how those problems may differ by region, size or specialty. Look for unsolved problems that are both urgent and pervasive. • Monitor and analyze how well the product is performing including product adoption (actual to planned adoption), provider satisfaction and market share. Understand why recent prospects did or did not adopt the product and opportunities at continuous improvement to drive adoption and utilization. • Articulate the value to the provider and the customer provided by our digital products and solutions. • Assess and articulate the need for digital products and tools that support each of the market tier needs. • Review internal measurements to determine how the product impacts our operations. Look for areas with the greatest impact on operating expenses. • Using the market research and product analysis develop a multi-year roadmap and collaborate with the Experience and Product Owner to incorporate roadmap into a long-term strategy and vision. • Stay knowledgeable of the company’s strategic direction and plans and determine how the strategy impacts the health care professional experience and product roadmaps. • Investigate internal and external technologies and consider how they might be applied to solve a given market problem. • Describe the ideal or stereotypical user persona that represents the development targets. Prepare scenarios for user personas to describe instances of market problems or situations that illustrate why a product requirement is necessary. • Review and approve requirements that accurately and completely articulate business needs for all affected personas, both internal and external. Position Requirements • 5+ years of relevant B2B work experience in Product Management, with a proven track record of successful delivery. • Able to effectively collaborate with technology development and architecture teams on potential solution options. • 5+ years in Healthcare/managed care environment, with knowledge of provider workflows, EMR systems and clinical or non-clinical data exchange between payer and providers • Bachelor’s degree required • Well-versed in technology, particularly with HIPAA standards for EDI transactions or HL7 standards for clinical and non-clinical data exchange • Demonstrated problem solving skills including the ability to systematically analyze complex problems. • Proven ability to listen, understand and interpret information from others • Strong written and verbal communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand and interpret information from others. • Able to work in a virtual environment as part of a virtual scrum team • Must be able to hit the ground running with little to no supervision as this an extremely fast paced and dynamic working environment • Must be able to run and facilitate sessions, drive clarity around work and raise issues to leadership in a timely and organized manner • Full time Work from home • Up to 20% travel • Critical Competencies • Ability to operate in a matrix organization • Be Provider Focused • Ability to make solution recommendations and decision making • Balance Stakeholders If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 104,500 – 174,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna . About Cigna Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make? Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State
January 17th, 2023 by